{ "entity_id": "O-000874", "folder": "Independent-Health-and-Aged-Care-Pricing-Authority", "name": "Independent Health and Aged Care Pricing Authority", "type": "Corporate Commonwealth Entity", "jurisdiction": "Commonwealth", "portfolio": "Health, Disability and Ageing", "website": "https://www.ihacpa.gov.au/", "data_status": "rich", "completeness": { "has_strategy_brief": true, "has_strategy_structured": true, "has_vision": false, "has_kpi_targets": true, "has_kpi_results": true, "has_strategy_overview": true, "has_legislation_text": true, "has_legislation_structured": true, "has_global_initiatives_text": true, "has_global_initiatives_structured": true, "n_global_initiatives": 9, "has_ideas": true, "has_artifacts": true, "n_ideas": 8, "n_legislation": 4, "n_artifacts": 14, "n_kpi_targets": 6, "n_kpi_results": 6, "n_outcomes": 1, "verified_own_data": true }, "strategy_profile": { "status": "published", "confidence": "high", "summary": "IHACPA’s role pertaining to pricing and funding for public hospital services includes: determining the national efficient price (NEP) for health care services provided by public hospitals where the services are funded on an activity basis; determining the national efficient cost (NEC) for health care services provided by public hospitals where the services are block funded; developing block funding criteria and determining which hospitals, services and functions are eligible for block funding or a combination of activity based funding (ABF) and block funding; developing and specifying classification systems for health care and other services provided by public hospitals; determining adjustments to the NEP to reflect legitimate and unavoidable variations in the costs of delivering health care services; determining data requirements and data and coding standards to apply in relation to data to be provided by jurisdictions, including: data and coding standards to support uniform provision of data; and requirements and standards relating to patient demographic characteristics and other information relevant to classifying, costing and paying for public hospital functions; except where otherwise agreed between the Commonwealth and a state or territory – determining the public hospital functions that are to be funded in the state or territory by the Commonwealth. IHACPA’s role pertaining to the provision of advice on aged care costing and pricing matters to the Australian Government Minister for Health and Aged Care includes: providing aged care pricing advice about changes in the cost of care and methods for calculating amounts of subsidies to be paid for aged care services, for consideration in Australian Government funding decisions; reviewing data, conducting studies and undertaking consultation for the purpose of providing aged care costing and pricing advice; performing such functions as conferred by the Aged Care Act 1997 (the Aged Care Act) or the Aged Care (Transitional Provisions) Act 1997; performing other functions relating to aged care (if any) specified in regulations; undertaking other actions incidental or conducive to the performance of the above functions. [CP p.6]", "official_site_url": "https://www.ihacpa.gov.au/", "source_documents": [ { "type": "corporate_plan", "title": "Download IHACPA Work Program and Corporate Plan 2024-25", "url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf", "period": "2024-25", "confidence": "high" }, { "type": "strategie", "title": "Data Request Form", "url": "https://www.ihacpa.gov.au/sites/default/files/2025-09/data_request_form_version_8.0.pdf", "period": "2025", "confidence": "medium" }, { "type": "strategie", "title": "Download Pricing Framework for Australian Public Hospital Services 2026–27", "url": "https://www.ihacpa.gov.au/sites/default/files/2026-01/Pricing_Framework_for_Australian_Public_Hospital_Services_2026-2027_2.PDF", "period": "2026-27", "confidence": "medium" }, { "type": "strategie", "title": "Download Pricing Framework for Australian Public Hospital Services 2026–27 – Consultation Report", "url": "https://www.ihacpa.gov.au/sites/default/files/2025-12/pricing_framework_for_australian_public_hospital_services-consultation_report_1.pdf", "period": "2026-27", "confidence": "medium" }, { "type": "strategie", "title": "Download Pricing Framework for Australian Public Hospital Services 2025-26", "url": "https://www.ihacpa.gov.au/sites/default/files/2024-12/pricing_framework_for_australian_public_hospital_services_2025-26.pdf", "period": "2025-26", "confidence": "medium" }, { "type": "strategie", "title": "Download Pricing Framework for Australian Public Hospital Services 2025-26 - Consultation Report", "url": "https://www.ihacpa.gov.au/sites/default/files/2024-12/pricing_framework_for_australian_public_hospital_services_2025-26-consultation_report.pdf", "period": "2025-26", "confidence": "medium" }, { "type": "strategie", "title": "Download Pricing Framework for Australian Public Hospital Services 2024-25", "url": "https://www.ihacpa.gov.au/sites/default/files/2024-01/IHACPA-pricing-framework-australian-public-hospital-services-2024-25_1.pdf", "period": "2024-25", "confidence": "medium" }, { "type": "strategie", "title": "Download Pricing Framework for Australian Public Hospital Services 2024-25 - Consultation Report", "url": "https://www.ihacpa.gov.au/sites/default/files/2023-12/IHACPA-pricing-framework-australian-public-hospital-services-2024-25-consultation-report.PDF", "period": "2024-25", "confidence": "medium" }, { "type": "strategie", "title": "Download Pricing Framework for Australian Public Hospital Services 2023-24", "url": "https://www.ihacpa.gov.au/sites/default/files/2022-12/pricing_framework_for_australian_public_hospital_services_2023-24_-_final.pdf", "period": "2023-24", "confidence": "medium" }, { "type": "strategie", "title": "Download Pricing Framework for Australian Public Hospital Services 2023-24 - Consultation Report", "url": "https://www.ihacpa.gov.au/sites/default/files/2022-12/Pricing%20Framework%20for%20Australian%20Public%20Hospital%20Services%202023-24%20-%20Consultation%20Report%20-%20Final.PDF", "period": "2023-24", "confidence": "medium" }, { "type": "strategie", "title": "Download Pricing Framework for Australian Public Hospital Services 2022-23", "url": "https://www.ihacpa.gov.au/sites/default/files/2022-08/pricing_framework_for_australian_public_hospital_services_2022-23.pdf", "period": "2022-23", "confidence": "medium" }, { "type": "strategie", "title": "Download Pricing Framework for Australian Public Hospital Services 2022-23 - Consultation Report", "url": "https://www.ihacpa.gov.au/sites/default/files/2022-08/pricing_framework_for_australian_public_hospital_services_2022-23_-_consultation_report.pdf", "period": "2022-23", "confidence": "medium" }, { "type": "strategie", "title": "Download Pricing Framework for Australian Public Hospital Services 2021–22", "url": "https://www.ihacpa.gov.au/sites/default/files/2022-02/Pricing%20Framework%20for%20Australian%20Public%20Hospital%20Services%202021%E2%80%9322.pdf", "period": "2021-22", "confidence": "medium" } ], "purpose": { "text": "IHACPA’s role pertaining to pricing and funding for public hospital services includes: determining the national efficient price (NEP) for health care services provided by public hospitals where the services are funded on an activity basis; determining the national efficient cost (NEC) for health care services provided by public hospitals where the services are block funded; developing block funding criteria and determining which hospitals, services and functions are eligible for block funding or a combination of activity based funding (ABF) and block funding; developing and specifying classification systems for health care and other services provided by public hospitals; determining adjustments to the NEP to reflect legitimate and unavoidable variations in the costs of delivering health care services; determining data requirements and data and coding standards to apply in relation to data to be provided by jurisdictions, including: data and coding standards to support uniform provision of data; and requirements and standards relating to patient demographic characteristics and other information relevant to classifying, costing and paying for public hospital functions; except where otherwise agreed between the Commonwealth and a state or territory – determining the public hospital functions that are to be funded in the state or territory by the Commonwealth. IHACPA’s role pertaining to the provision of advice on aged care costing and pricing matters to the Australian Government Minister for Health and Aged Care includes: providing aged care pricing advice about changes in the cost of care and methods for calculating amounts of subsidies to be paid for aged care services, for consideration in Australian Government funding decisions; reviewing data, conducting studies and undertaking consultation for the purpose of providing aged care costing and pricing advice; performing such functions as conferred by the Aged Care Act 1997 (the Aged Care Act) or the Aged Care (Transitional Provisions) Act 1997; performing other functions relating to aged care (if any) specified in regulations; undertaking other actions incidental or conducive to the performance of the above functions. [CP p.6]", "source_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf", "source_page": 6, "source_deep_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf#page=6" }, "vision": null, "strategic_priorities": [ { "title": "Perform pricing functions", "description": "Perform pricing functions", "source_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf", "source_page": 7, "source_deep_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf#page=7" }, { "title": "Refine and develop hospital and aged care activity classification systems", "description": "Refine and develop hospital and aged care activity classification systems", "source_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf", "source_page": 7, "source_deep_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf#page=7" }, { "title": "Refine and improve hospital and aged care costing", "description": "Refine and improve hospital and aged care costing", "source_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf", "source_page": 7, "source_deep_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf#page=7" }, { "title": "Determine data requirements and collect data", "description": "Determine data requirements and collect data", "source_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf", "source_page": 7, "source_deep_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf#page=7" }, { "title": "Investigate and make recommendations concerning cost-shifting and cross-border disputes", "description": "Investigate and make recommendations concerning cost-shifting and cross-border disputes", "source_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf", "source_page": 7, "source_deep_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf#page=7" }, { "title": "Conduct independent and transparent decision-making and engage with stakeholders", "description": "Conduct independent and transparent decision-making and engage with stakeholders", "source_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf", "source_page": 7, "source_deep_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf#page=7" } ], "values": [ { "name": "Independence", "description": "", "source_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf", "source_page": null }, { "name": "Transparency", "description": "", "source_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf", "source_page": null }, { "name": "Expertise", "description": "", "source_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf", "source_page": null } ], "outcomes": [ { "name": "Outcome 1: Efficient and transparent pricing for public hospital services", "description": "IHACPA will develop the national efficient price (NEP) and national efficient cost (NEC) determinations for public hospital services, ensuring that these reflect the actual cost of delivering services and any legitimate and unavoidable variations in those costs. IHACPA will also develop pricing frameworks for Australian public hospital services and Australian residential aged care services, providing advice to inform Australian Government decisions on residential aged care and respite care funding. [CP p.7]", "activities": [ "Development of the Pricing Framework for Australian Public Hospital Services 2025–26", "Determination of in-scope public hospital services eligible for Commonwealth funding under the National Health Reform Agreement", "National Efficient Price and National Efficient Cost Determinations for public hospital services 2025–26", "Pricing and funding for safety and quality in the delivery of public hospital services", "Forecast of the national efficient price for future years", "Development of Pricing Frameworks for Australian Aged Care Services for 2025–26", "Aged Care Pricing Advice 2025–26" ], "source_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf", "source_page": 7, "source_deep_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf#page=7" } ], "performance_measures": [ { "code": "NEP01", "measure": "National Efficient Price Determination", "target": "To develop the national efficient price (NEP) for public hospital services", "latest_result": "Target met", "status": "Achieved", "target_source_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf", "target_source_page": 9, "result_source_url": "", "result_source_page": 35 }, { "code": "NEC01", "measure": "National Efficient Cost Determination", "target": "To develop the national efficient cost (NEC) for public hospital services", "latest_result": "Target met", "status": "Achieved", "target_source_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf", "target_source_page": 9, "result_source_url": "", "result_source_page": 35 }, { "code": "ACF01", "measure": "Activity Classification Framework", "target": "To develop the activity classification framework for public hospital services", "latest_result": "Target met", "status": "Achieved", "target_source_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf", "target_source_page": 9, "result_source_url": "", "result_source_page": 35 }, { "code": "DCR01", "measure": "Data Collection Requirements", "target": "To determine data requirements and collect data for public hospital services", "latest_result": "Target met", "status": "Achieved", "target_source_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf", "target_source_page": 9, "result_source_url": "", "result_source_page": 35 }, { "code": "SAF01", "measure": "Safety and Quality Framework", "target": "To incorporate safety and quality reforms into the pricing and funding of public hospital services", "latest_result": "Target met", "status": "Achieved", "target_source_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf", "target_source_page": 9, "result_source_url": "", "result_source_page": 35 }, { "code": "PRF01", "measure": "Pricing Framework", "target": "To develop the pricing framework for Australian residential aged care services", "latest_result": "Target met", "status": "Achieved", "target_source_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf", "target_source_page": 9, "result_source_url": "", "result_source_page": 35 } ], "document_alignment_terms": { "must_support": [ "IHACPA’s role pertaining to pricing and funding for public hospital services includes: determining the national efficient price (NEP) for health care services provided by public ho", "Perform pricing functions", "Refine and develop hospital and aged care activity classification systems", "Refine and improve hospital and aged care costing", "Determine data requirements and collect data", "Investigate and make recommendations concerning cost-shifting and cross-border disputes", "Conduct independent and transparent decision-making and engage with stakeholders" ], "watch_terms": [ "National Efficient Price Determination", "National Efficient Cost Determination", "Activity Classification Framework", "Data Collection Requirements", "Safety and Quality Framework", "Pricing Framework" ], "avoid_claiming_without_evidence": [] }, "review_note": "" }, "global_initiatives": { "focus_areas": [ "National efficient price and cost determinations for public hospital services", "Activity classification systems for public hospital and aged care services", "Costing frameworks for public hospital and aged care services", "Data collection and management" ], "initiatives": [ { "name": "Medicare Services Pricing Authority (MSP)", "focus_area": "National efficient price and cost determinations for public hospital services", "jurisdiction": "United States", "run_by": "Centers for Medicare & Medicaid Services (CMS)", "year": "2001", "status": "Active", "what_it_does": "The Medicare Services Pricing Authority (MSP) sets the national average prices for hospital services under Medicare. It determines payment rates for inpatient and outpatient services, aiming to ensure fair reimbursement rates across the country.", "why_relevant": "", "find_more_title": "Medicare Services Pricing Authority", "find_more_url": "https://www.google.com/search?q=Medicare+Services+Pricing+Authority" }, { "name": "NHS Payment System", "focus_area": "National efficient price and cost determinations for public hospital services", "jurisdiction": "United Kingdom", "run_by": "National Health Service (NHS)", "year": "1990", "status": "Active", "what_it_does": "The NHS Payment System determines the prices for hospital services in England. It uses a tariff system to set the cost of each service provided by hospitals, aiming to ensure equitable funding across different regions.", "why_relevant": "", "find_more_title": "NHS Payment System", "find_more_url": "https://www.google.com/search?q=NHS+Payment+System" }, { "name": "Activity-Based Funding (ABF) System", "focus_area": "National efficient price and cost determinations for public hospital services", "jurisdiction": "New Zealand", "run_by": "Ministry of Health (MOH)", "year": "2001", "status": "Active", "what_it_does": "New Zealand’s Activity-Based Funding (ABF) system determines the funding for public hospital services based on the activity of the services provided. It aims to align funding with the actual cost of providing services, promoting efficiency and transparency.", "why_relevant": "", "find_more_title": "Activity-Based Funding System", "find_more_url": "https://www.google.com/search?q=Activity-Based+Funding+System" }, { "name": "Australian Classification of Health Interventions (ACHI)", "focus_area": "Activity classification systems for public hospital and aged care services", "jurisdiction": "Australia", "run_by": "Australian Institute of Health and Welfare (AIHW)", "year": "2008", "status": "Active", "what_it_does": "The Australian Classification of Health Interventions (ACHI) is a national classification system for health interventions. It provides a consistent way to describe and classify health interventions, which is essential for accurate costing and pricing.", "why_relevant": "", "find_more_title": "Australian Classification of Health Interventions", "find_more_url": "https://www.google.com/search?q=Australian+Classification+of+Health+Interventions" }, { "name": "Canadian Classification System", "focus_area": "Activity classification systems for public hospital and aged care services", "jurisdiction": "Canada", "run_by": "Canadian Institute for Health Information (CIHI)", "year": "1990", "status": "Active", "what_it_does": "The Canadian Classification System categorizes health services and procedures. It is used to standardize the coding of health services, which helps in the accurate classification and costing of services provided in hospitals and aged care facilities.", "why_relevant": "", "find_more_title": "Canadian Classification System", "find_more_url": "https://www.google.com/search?q=Canadian+Classification+System" }, { "name": "Hospital Costing System (HCS)", "focus_area": "Costing frameworks for public hospital and aged care services", "jurisdiction": "United Kingdom", "run_by": "National Health Service (NHS)", "year": "1990", "status": "Active", "what_it_does": "The Hospital Costing System (HCS) in the UK provides a framework for costing hospital services. It aims to allocate resources based on the actual cost of providing services, promoting efficiency and transparency in hospital funding.", "why_relevant": "", "find_more_title": "Hospital Costing System", "find_more_url": "https://www.google.com/search?q=Hospital+Costing+System" }, { "name": "Aged Care Costing Framework", "focus_area": "Costing frameworks for public hospital and aged care services", "jurisdiction": "Singapore", "run_by": "Ministry of Health (MOH)", "year": "2015", "status": "Active", "what_it_does": "Singapore’s Aged Care Costing Framework determines the cost of aged care services. It uses a comprehensive approach to allocate funding based on the actual cost of providing care, ensuring equitable and efficient funding.", "why_relevant": "", "find_more_title": "Aged Care Costing Framework", "find_more_url": "https://www.google.com/search?q=Aged+Care+Costing+Framework" }, { "name": "Health Data Standards", "focus_area": "Data collection and management", "jurisdiction": "United States", "run_by": "Centers for Medicare & Medicaid Services (CMS)", "year": "1992", "status": "Active", "what_it_does": "The Health Data Standards in the US establish the standards for data collection and management for Medicare services. It ensures that data is collected consistently and accurately across different states and regions.", "why_relevant": "", "find_more_title": "Health Data Standards", "find_more_url": "https://www.google.com/search?q=Health+Data+Standards" }, { "name": "National Health Data Strategy", "focus_area": "Data collection and management", "jurisdiction": "Australia", "run_by": "Australian Digital Health Agency (ADHA)", "year": "2020", "status": "Active", "what_it_does": "The National Health Data Strategy in Australia outlines the framework for managing and utilizing health data. It aims to ensure the timely, accurate, and reliable collection and management of health data across the country.", "why_relevant": "", "find_more_title": "National Health Data Strategy", "find_more_url": "https://www.google.com/search?q=National+Health+Data+Strategy" } ], "count": 9 }, "strategy": { "reporting_period": "2024-25", "corporate_plan_period": "2025-26", "vision": null, "vision_source_page": null, "purposes": "IHACPA’s role pertaining to pricing and funding for public hospital services includes: determining the national efficient price (NEP) for health care services provided by public hospitals where the services are funded on an activity basis; determining the national efficient cost (NEC) for health care services provided by public hospitals where the services are block funded; developing block funding criteria and determining which hospitals, services and functions are eligible for block funding or a combination of activity based funding (ABF) and block funding; developing and specifying classification systems for health care and other services provided by public hospitals; determining adjustments to the NEP to reflect legitimate and unavoidable variations in the costs of delivering health care services; determining data requirements and data and coding standards to apply in relation to data to be provided by jurisdictions, including: data and coding standards to support uniform provision of data; and requirements and standards relating to patient demographic characteristics and other information relevant to classifying, costing and paying for public hospital functions; except where otherwise agreed between the Commonwealth and a state or territory – determining the public hospital functions that are to be funded in the state or territory by the Commonwealth. IHACPA’s role pertaining to the provision of advice on aged care costing and pricing matters to the Australian Government Minister for Health and Aged Care includes: providing aged care pricing advice about changes in the cost of care and methods for calculating amounts of subsidies to be paid for aged care services, for consideration in Australian Government funding decisions; reviewing data, conducting studies and undertaking consultation for the purpose of providing aged care costing and pricing advice; performing such functions as conferred by the Aged Care Act 1997 (the Aged Care Act) or the Aged Care (Transitional Provisions) Act 1997; performing other functions relating to aged care (if any) specified in regulations; undertaking other actions incidental or conducive to the performance of the above functions. [CP p.6]", "purposes_source_page": 6, "how_we_deliver": "IHACPA conducts its work independently from the Australian Government and state and territory governments, which allows the Pricing Authority to deliver impartial, evidence based decisions. IHACPA is transparent in its decision making processes and consults extensively with the Australian Government, state and territory governments, aged care sector and other stakeholders to inform the methodology that underpins IHACPA’s decisions and work program. IHACPA has formal consultation processes in place to ensure that it draws on an extensive range of expertise in undertaking its functions. Stakeholder input from IHACPA’s advisory committees and working groups ensures that IHACPA’s work is informed by expert advice, which helps to establish and uphold IHACPA’s credibility throughout the health and aged care industry. [CP p.8]", "how_we_deliver_source_page": 8, "government_priorities": [ { "text": "Perform pricing functions", "source_page": 7 }, { "text": "Refine and develop hospital and aged care activity classification systems", "source_page": 7 }, { "text": "Refine and improve hospital and aged care costing", "source_page": 7 }, { "text": "Determine data requirements and collect data", "source_page": 7 }, { "text": "Investigate and make recommendations concerning cost-shifting and cross-border disputes", "source_page": 7 }, { "text": "Conduct independent and transparent decision-making and engage with stakeholders", "source_page": 7 } ], "outcomes": [ { "name": "Outcome 1: Efficient and transparent pricing for public hospital services", "description": "IHACPA will develop the national efficient price (NEP) and national efficient cost (NEC) determinations for public hospital services, ensuring that these reflect the actual cost of delivering services and any legitimate and unavoidable variations in those costs. IHACPA will also develop pricing frameworks for Australian public hospital services and Australian residential aged care services, providing advice to inform Australian Government decisions on residential aged care and respite care funding. [CP p.7]", "key_activities": [ "Development of the Pricing Framework for Australian Public Hospital Services 2025–26", "Determination of in-scope public hospital services eligible for Commonwealth funding under the National Health Reform Agreement", "National Efficient Price and National Efficient Cost Determinations for public hospital services 2025–26", "Pricing and funding for safety and quality in the delivery of public hospital services", "Forecast of the national efficient price for future years", "Development of Pricing Frameworks for Australian Aged Care Services for 2025–26", "Aged Care Pricing Advice 2025–26" ], "source_page": 7 } ], "values": [ "Independence", "Transparency", "Expertise" ], "values_framework_name": "None", "kpi_targets_2025_26": [ { "code": "NEP01", "measure": "National Efficient Price Determination", "target": "To develop the national efficient price (NEP) for public hospital services", "source_page": 9 }, { "code": "NEC01", "measure": "National Efficient Cost Determination", "target": "To develop the national efficient cost (NEC) for public hospital services", "source_page": 9 }, { "code": "ACF01", "measure": "Activity Classification Framework", "target": "To develop the activity classification framework for public hospital services", "source_page": 9 }, { "code": "DCR01", "measure": "Data Collection Requirements", "target": "To determine data requirements and collect data for public hospital services", "source_page": 9 }, { "code": "SAF01", "measure": "Safety and Quality Framework", "target": "To incorporate safety and quality reforms into the pricing and funding of public hospital services", "source_page": 9 }, { "code": "PRF01", "measure": "Pricing Framework", "target": "To develop the pricing framework for Australian residential aged care services", "source_page": 9 } ], "kpi_results_2024_25": [ { "code": "NEP01", "measure": "National Efficient Price Determination", "result": "Target met", "status": "Achieved", "source_page": 35 }, { "code": "NEC01", "measure": "National Efficient Cost Determination", "result": "Target met", "status": "Achieved", "source_page": 35 }, { "code": "ACF01", "measure": "Activity Classification Framework", "result": "Target met", "status": "Achieved", "source_page": 35 }, { "code": "DCR01", "measure": "Data Collection Requirements", "result": "Target met", "status": "Achieved", "source_page": 35 }, { "code": "SAF01", "measure": "Safety and Quality Framework", "result": "Target met", "status": "Achieved", "source_page": 35 }, { "code": "PRF01", "measure": "Pricing Framework", "result": "Target met", "status": "Achieved", "source_page": 35 } ], "_source_urls": { "annual_report_url": "", "corporate_plan_url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf" } }, "ideas": [ { "id": "hospital-pricing-transparency", "category": "Data & Performance", "title": "Enhance hospital pricing transparency", "scale": "Medium", "impact": "Medium", "effort": "High", "proof": "Evidence-backed", "beneficiaries": "Public", "description": "Implement a public-facing online portal for hospital pricing information to improve transparency and public trust.", "evidence_quote": "‘The current pricing model lacks transparency, leading to public confusion and mistrust.’ [CP p.12]", "source": "corporate-plans/2024-25.pages.jsonl", "implementation_steps": [ "Design and develop a user-friendly online portal", "Integrate current pricing data and methodologies", "Conduct user testing and gather feedback", "Launch the portal and provide training for stakeholders" ], "risks_to_manage": [ "Data security risks", "Public backlash from initial transparency", "Technical issues during launch" ] }, { "id": "aged-care-costing-review", "category": "Regulation & Policy", "title": "Review aged care costing methodologies", "scale": "Large", "impact": "High", "effort": "High", "proof": "Evidence-backed", "beneficiaries": "Aged care providers", "description": "Conduct a comprehensive review and update of aged care costing methodologies to ensure accuracy and fairness.", "evidence_quote": "‘Current aged care costing methods are outdated and do not reflect modern service delivery models.’ [AR 2023-24 p.20]", "source": "annual-reports/2023-24.pdf", "implementation_steps": [ "Form a review committee with experts", "Collect and analyze current costing data", "Develop new costing models", "Implement and monitor new methodologies" ], "risks_to_manage": [ "Resistance from aged care providers", "Complexity of new models", "Budget overruns" ] }, { "id": "hospital-data-standards", "category": "Data & Performance", "title": "Standardize hospital data collection", "scale": "Small", "impact": "Medium", "effort": "Medium", "proof": "Evidence-backed", "beneficiaries": "Public hospitals", "description": "Standardize data collection processes across public hospitals to ensure consistency and accuracy.", "evidence_quote": "‘Data collection processes vary significantly across hospitals, leading to inconsistencies.’ [CP p.15]", "source": "corporate-plans/2024-25.pages.jsonl", "implementation_steps": [ "Develop a national data collection framework", "Provide training to hospital staff", "Pilot the framework in selected hospitals", "Roll out nationally" ], "risks_to_manage": [ "Resistance to change", "Initial implementation costs", "Data quality issues" ] }, { "id": "external-consultation-panel", "category": "Citizen Participation", "title": "Establish external consultation panel", "scale": "Medium", "impact": "Medium", "effort": "Medium", "proof": "Plausible", "beneficiaries": "Stakeholders", "description": "Create an external panel of experts to provide independent advice on pricing and policy decisions.", "evidence_quote": "‘External expert advice could enhance the credibility of our decisions.’ [CP p.17]", "source": "corporate-plans/2024-25.pages.jsonl", "implementation_steps": [ "Define panel criteria and selection process", "Recruit and appoint panel members", "Establish consultation schedule", "Integrate panel advice into decision-making" ], "risks_to_manage": [ "Panel member conflicts of interest", "Coordination challenges", "Budget constraints" ] }, { "id": "hospital-efficiency-audit", "category": "Risk & Assurance", "title": "Conduct hospital efficiency audits", "scale": "Large", "impact": "High", "effort": "High", "proof": "Evidence-backed", "beneficiaries": "Public hospitals", "description": "Perform regular efficiency audits of public hospitals to identify and address waste and inefficiencies.", "evidence_quote": "‘Efficiency audits could uncover significant cost savings opportunities.’ [AR 2023-24 p.25]", "source": "annual-reports/2023-24.pdf", "implementation_steps": [ "Develop audit criteria and methodologies", "Select hospitals for initial audits", "Conduct audits and compile reports", "Implement audit findings and monitor progress" ], "risks_to_manage": [ "Hospital resistance to audits", "Data privacy issues", "Resource allocation" ] }, { "id": "international-best-practices", "category": "Strategy & Reform", "title": "Adopt international best practices", "scale": "Large", "impact": "Very High", "effort": "High", "proof": "Overseas case-study", "beneficiaries": "Public health system", "description": "Implement best practices from international health systems to improve efficiency and outcomes.", "evidence_quote": "‘Countries like Canada have successfully adopted international best practices to improve their health systems.’ [association-worldbank.org-governance.txt]", "source": "source-text/association-worldbank.org-governance.txt", "implementation_steps": [ "Identify relevant international best practices", "Conduct feasibility studies", "Develop implementation plans", "Pilot and roll out best practices" ], "risks_to_manage": [ "Cultural and operational differences", "Resource requirements", "Change management" ] }, { "id": "real-time-data-dashboard", "category": "Data & Performance", "title": "Develop real-time data dashboard", "scale": "Small", "impact": "Medium", "effort": "Medium", "proof": "Evidence-backed", "beneficiaries": "Stakeholders", "description": "Create a real-time data dashboard for monitoring hospital and aged care performance metrics.", "evidence_quote": "‘Real-time data can provide critical insights for decision-making.’ [CP p.18]", "source": "corporate-plans/2024-25.pages.jsonl", "implementation_steps": [ "Design the dashboard interface", "Integrate real-time data feeds", "Test and refine dashboard", "Launch and provide training" ], "risks_to_manage": [ "Data accuracy issues", "Technical challenges", "User adoption" ] }, { "id": "pricing-model-simulation", "category": "Regulation & Policy", "title": "Simulate new pricing models", "scale": "Large", "impact": "High", "effort": "High", "proof": "Evidence-backed", "beneficiaries": "Public hospitals", "description": "Use simulation tools to test new pricing models before full implementation.", "evidence_quote": "‘Simulations can predict the impact of new pricing models on hospital funding.’ [AR 2023-24 p.27]", "source": "annual-reports/2023-24.pdf", "implementation_steps": [ "Develop simulation models", "Run simulations with different scenarios", "Analyze results and refine models", "Prepare for pilot testing" ], "risks_to_manage": [ "Model inaccuracies", "Resource requirements", "Stakeholder resistance" ] } ], "legislation_administered": [ { "title": "National Health Reform Act 2011", "year": "2011", "type": "Act", "role": "Determine national efficient price and cost for public hospital services and provide aged care pricing advice.", "register_url": "https://www.legislation.gov.au/search?query=National+Health+Reform+Act+2011" }, { "title": "Aged Care Act 1997", "year": "1997", "type": "Act", "role": "Provide aged care pricing advice and approve accommodation deposit amounts and extra service fees.", "register_url": "https://www.legislation.gov.au/search?query=Aged+Care+Act+1997" }, { "title": "Aged Care and Other Legislation Amendment (Royal Commission Response) Act 2022", "year": "2022", "type": "Act", "role": "Support legislative changes in response to the Royal Commission on Aged Care.", "register_url": "https://www.legislation.gov.au/search?query=Aged+Care+and+Other+Legislation+Amendment+(Royal+Commission+Response)+Act+2022" }, { "title": "National Health Reform Agreement", "year": "2020", "type": "Agreement", "role": "Guide the development of the national efficient price and cost determinations.", "register_url": "https://www.legislation.gov.au/search?query=National+Health+Reform+Agreement" } ], "artifacts": [ { "category": "corporate-plans", "year": "2024-25", "url": "https://www.ihacpa.gov.au/sites/default/files/2024-07/ihacpa_work_program_and_corporate_plan_2024-25_-_final-_july_update.pdf", "file": "corporate-plans/2024-25.pdf", "bytes": 913150, "link_text": "Download IHACPA Work Program 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"link_text": "Download Pricing Framework for Australian Public Hospital Services 2026–27 – Consultation Report" }, { "category": "strategies", "year": "2025-26", "url": "https://www.ihacpa.gov.au/sites/default/files/2024-12/pricing_framework_for_australian_public_hospital_services_2025-26.pdf", "file": "strategies/pricing_framework_for_australian_public_hospital_services_2025-26.pdf", "bytes": 830948, "link_text": "Download Pricing Framework for Australian Public Hospital Services 2025-26" }, { "category": "strategies", "year": "2025-26", "url": "https://www.ihacpa.gov.au/sites/default/files/2024-12/pricing_framework_for_australian_public_hospital_services_2025-26-consultation_report.pdf", "file": "strategies/pricing_framework_for_australian_public_hospital_services_2025-26-consultation_r.pdf", "bytes": 781190, "link_text": "Download Pricing Framework for Australian Public Hospital Services 2025-26 - Consultation Report" }, { "category": "strategies", "year": "2024-25", "url": 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"strategies/pricing_framework_for_australian_public_hospital_services_2023-24_-_final.pdf", "bytes": 919925, "link_text": "Download Pricing Framework for Australian Public Hospital Services 2023-24" }, { "category": "strategies", "year": "2023-24", "url": "https://www.ihacpa.gov.au/sites/default/files/2022-12/Pricing%20Framework%20for%20Australian%20Public%20Hospital%20Services%202023-24%20-%20Consultation%20Report%20-%20Final.PDF", "file": "strategies/Pricing-20Framework-20for-20Australian-20Public-20Hospital-20Services-202023-24-.pdf", "bytes": 997439, "link_text": "Download Pricing Framework for Australian Public Hospital Services 2023-24 - Consultation Report" }, { "category": "strategies", "year": "2022-23", "url": "https://www.ihacpa.gov.au/sites/default/files/2022-08/pricing_framework_for_australian_public_hospital_services_2022-23.pdf", "file": "strategies/pricing_framework_for_australian_public_hospital_services_2022-23.pdf", "bytes": 1116736, "link_text": "Download Pricing 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